MEDICARE: SOPHIA GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	8323	TX

General Provider Information

NPI Number	:	1467230474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA GARCIA

Provider Business Mailing Address
First Line	:	12840 POTRANCO RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7392
Country	:	US
Telephone Number	:	210-966-4669
Fax Number	:

Provider Business Practice Location Address
First Line	:	12840 POTRANCO RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7392
Country	:	US
Telephone Number	:	210-966-4669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	03/16/2026

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Directions to “ SOPHIA GARCIA ” Practice Location

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